Deck 32: The Process of Treatment

Question 1

Perhaps, the best way to view substance misuse rehabilitation work is as a form of

A)crisis management.
B)disease management.
C)disaster intervention.
D)collaborative medicine.

Answer 1

disease management.

Question 2

A person in recovery is especially vulnerable to which of the following categories of "cues" to continued substance use?

A)Internal and external
B)Internalized conflict over past abuse situations
C)Home conflicts or work conflicts
D)Concurrent medical cues

Answer 2

Internal and external

Question 3

The steps identified in stage models of recovery from SUDs

A)are rigid and sequential; you have to do each step in turn.
B)are based on the "average" pattern of a client's progress, based upon observations of many clients.
C)create confusion in the profession over which stage model is truly the appropriate model.
D)are age-dependent, with older clients moving more rapidly to more advanced stages than younger persons.

Answer 3

are based on the "average" pattern of a client's progress, based upon observations of many clients.

Question 4

The second stage of Nowinski's model of substance misuse recovery is called .

A)acceptance
B)formulation
C)surrender
D)resolution

Question 5

Of the following individuals with an SUD, who is the LEAST likely to accept abstinence as a goal?

A)Raul, who is 41
B)Aisha, who is 27
C)Hank, who is 23
D)Yung-Sun, who is 54

Question 6

The process of recovery from an SUD seems to parallel the process of

A)harm reduction.
B)surgically removing a tumor.
C)disease management for chronic medical conditions.
D)recovering from a broken arm.

Question 7

A major problem that can contribute to relapse of alcohol and other drug misuse is

A)the illusion of control.
B)not knowing how to use in moderation.
C)not knowing where to go to detox.
D)not knowing when the maintenance stage has turned into termination.

Question 8

The treatment approach in which a client is awarded points for continued abstinence (or loss of points for proven substance use), which he or she can later trade in for items is the

A)motivational contingency approach.
B)vertical achievement approach.
C)voucherbased treatment.
D)anticipatory contingency approach.

Question 9

The person who enters a substance abuse rehabilitation program tends to

A)be more impaired than those who can abstain without formal treatment.
B)have a great number of family members who have similar substance use problems.
C)avoid legal consequences for his or her behavior.
D)do so because of the financial cost of continued substance use.

Question 10

The person going through the process of recovering from an SUD either in the Prochaska's or the Nowinski's model is thought to

A)encourage himself or herself to learn how to enter environments in which chemical abuse previously occurred.
B)demonstrate maladaptive thoughts into the latter parts of the first phase.
C)demonstrate individual variations in progress.
D)experience less and less resistance as he or she reaches the latter stages of recovery.

Question 11

It is important that substance rehabilitation professionals avoid focusing on behavioral change during the stage of recovery.

A)preparation/determination
B)action
C)contemplation
D)precontemplation

Question 12

During the action phase of the Prochaska's model, the therapist's goals are to do all of the following, EXCEPT

A)planning for concrete steps that are then taken to modify behavior.
B)being alert for signs of problems.
C)assisting the client to address issues that contribute to or exacerbate the SUD.
D)assisting in individual growth.

Question 13

Jose, a substance abuse rehabilitation counselor, is working with Melynda, who has an SUD.They are currently coming up with a continuing plan to support Melynda's desire to work toward recovery.She is currently attending weekly group therapy, going to three AA meetings per week, as well as meeting with Jose every week.She is proud that she has been sober for 2 weeks.Melynda is most likely in which stage of change, according to Prochaska's model?

A)Precontemplation
B)Maintenance
C)Action
D)Contemplation

Question 14

Which of the following seems to be foundational in the client's ability to recover?

A)The severity of the SUD
B)The client's interpersonal relationships
C)The client's expectations and self-evaluation
D)All of these answers

Question 15

One of the goals of cognitive-behavioral approaches to SUDs is to

A)help the client identify and correct irrational thought patterns that support continued use of chemicals.
B)confront areas of conflict long buried by the superego.
C)look at the client's disruptive behaviors, what motivated him or her, and the unconscious conflict that these issues have caused over the years.
D)focus on ego states that cause such emotional stress for the person.

Question 16

Which of the following approaches has been found to enhance abstinence in the early stages of recovery?

A)Motivational interviewing
B)Voucher-based reinforcement
C)Cognitive-behavioral approaches
D)Psychodynamic approaches

Question 17

Nowinski's model suggests that the first step in recovery is the

A)acceptance phase.
B)declarative phase.
C)decision to work toward natural recovery.
D)surrender phase.

Question 18

According to Heyman, the individuals who enter SUD rehabilitation may be the to discontinue their substance use.

A)least able
B)most able
C)ones with the most motivation
D)ones with the least motivation

Question 19

Suma is working with a client, Jin, who is questioning whether he should work on stopping his SUD.Suma and Jin are weighing the pros and cons of Jin's SUD.Jin is most likely in which stage of change, according to Prochaska's model?

A)Precontemplation
B)Maintenance
C)Action
D)Contemplation

Question 20

Rosalita is currently participating in group therapy to stop using cocaine.She is also doing marital counseling with her husband so he can support her overcoming her addiction.Which stage of treatment is Rosalita most likely in, according to Prochaska's model of treatment?

A)Precontemplation
B)Action
C)Contemplation
D)Maintenance

Question 21

Approximately 90% of those who are dependent on opioids and only complete a detox program return to the abuse of chemicals within 6 months.

Question 22

Clinical research has demonstrated that 80% of those assessed as having an SUD did not demonstrate even one symptom of the disorder in the past 12 months by the age of 24.

Question 23

What are the challenges for the substance abuse rehabilitation professional when dealing with a client in the precontemplation stage of recovery?

Question 24

Describe the voucher-based reinforcement treatment programs.

Question 25

What are some of the factors that may become the foundation upon which a client's recovery might be established?

Question 26

During the preparation stage, the client is ready to change his or her attitude and behavior within a specific time frame, usually within the next month.

Question 27

Virtually every program of substance misuse treatment emphasizes that only through abstinence can a person achieve recovery.

Question 28

Part of the challenge for substance rehabilitation professionals working with people addicted to alcohol is to help clients identify the consequences of their alcohol use disorder.

Question 29

Discuss the factors that may surround the decision to seek treatment for a person with an SUD.

Question 30

Compare and contrast the Prochaska and Nowinski stage models of substance misuse recovery.